Self-Diagnosis

Self-diagnosis is something that I struggled with a little bit before I was formally diagnosed. Well, maybe saying I struggled isn't quite right, but I didn't feel comfortable in disclosing my autism while self-diagnosed unless I had to. I knew I was autistic before diagnosis but it felt like it might just be in my head so I didn't dare tell anyone except members of the online autism community who I'd never met. Obviously it's most likely not the case that it's just in your head so I wanted to go over some reasons why self-diagnosis is perfectly valid.

1. Autism is often overlooked in women and in minorities because it used to be seen as something that only occurred in white males. We know nowadays that literally anybody can be autistic.

2. Getting a diagnosis can be expensive in certain countries. Here in the UK it's done under the NHS for free, although there is also the option to go private.

3. The diagnostic person/team that assesses you might not be as knowledgeable or up to date as they should be. This happened to me when I was 1st assessed. They decided I wasn't autistic, so when I moved to a different area I had to ask to be referred again for a 2nd opinion where I finally got my diagnosis.

4. Even if you can afford a diagnosis the wait time for it is often ridiculously long. I can't remember how long my 1st assessment took, but I know my 2nd one was 18 months from my GP referring me to me getting my diagnosis.

5. Diagnostic assessment may not be physically accessible. I would imagine there's probably an assessment centre in most (if not all) major cities, but more rural areas might not have one meaning that you'd have to travel.

6. Your GP might refuse to refer you. This happened to me and I know it's not an isolated case. The GP I saw refused to refer me because she decided I didn't need to label myself. This is problematic for a few reasons, not least that it's not for her to decide. It's our own decision whether it's something we want or need.

7. Under the UK's Equality Act 2010 a diagnosis is irrelevant when asking for accommodations at work. As long as you meet a set of criteria your workplace are legally obliged to offer reasonable adjustments for you with or without a formal diagnosis.

8. Some autistics might feel shame or fear around getting officially diagnosed. This could be because of how they personally view themselves and/or autism, it could be due to family pressures, or any number of reasons that they might want to quietly keep their identity to themselves.

9. Some people simply might not want to chase a formal diagnosis, but be content in self-identifying as autistic. Fun fact: Tim Burton has identified as autistic for years, despite not being diagnosed.

10. Nobody knows you better than you!

There is concern within the neurotypical community that with self-diagnosis of autism people will use it as almost a fashion statement, or irrationally jump to conclusions about their own neurotype. I think these concerns are quite reasonable if you're looking from an outside perspective like neurotypicals will be, so I wanted to quickly address both sides to close this post. I want to reassure neurotypials that jumping into a self-disagnosis like that is a rare occurrence. While I'm not saying that everybody who self-diagnoses does so correctly, it's usually more about identity and isn't something that's taken lightly by most people. We take a lot of time, research and soul searching before we diagnose ourselves. And that leads me onto my point addressed to self-diagnosing autistics or those considering it. It's best to take your time and really think and research what autism is and whether you identify as autistic. There are a ton of autism resources online in the form of blogs (like this one!), YouTube channels, Facebook groups, Twitter hashtags and so on that are dedicated to helping anyone and everyone understand and accept autism. There's nothing wrong with self-diagnosing, but all I'm saying is do your research and stay informed.

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[Image description: "World Wide Web" logo (a black globe logo with "WWW" running through the middle) on a white background with "Autism" underneath it in rainbow colours, and "Self-Diagnosis" beneath that in black text.]